Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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FAIR OAKS RANCH
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DENNINGTON COLLAB
NPI: 1750936720 · FAIR OAKS RANCH, TX 78015 ·
152W00000X
$11K
Total Medicaid Paid
551
Total Claims
457
Beneficiaries
6
Codes Billed
2020-11
First Month
2023-08
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2020
14
$278.05
2021
288
$6K
2022
181
$3K
2023
68
$2K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
S0621
Routine ophthalmological exa
208
184
$7K
V2020
Vision svcs frames purchases
150
121
$2K
V2103
Spherocylindr 4.00d/12-2.00d
61
42
$613.39
V2784
Lens polycarb or equal
59
42
$390.67
92015
56
51
$0.00
S9986
Not medically necessary svc
17
17
$0.00